Updated 23 March 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
One inspector carried out this inspection.
Service and service type
Leadon Vale Care Limited is a domiciliary care service, registered to provide personal care to people living in their own homes in the community.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced.
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 14 March 2022 and ended on 15 March 2022. We visited the location’s office on 14 March 2022.
What we did before the inspection
In planning our inspection, we reviewed information we had received about the service. This included any notifications (events which happened in the service that the provider is required to tell us about) and feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection-
We spoke with the registered manager who is also the Nominated Individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. The deputy manager, a care staff member, the office manager and the office administrator.
We reviewed a range of records. This included two people's care records and risk assessments. We looked at three staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including staff rotas, accident and incident analysis, the complaints log and quality assurance record.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at the providers statement of purpose, training records and policies and procedures. We spoke with two people who used the service and two relatives.